Provider First Line Business Practice Location Address:
BUEN SAMARITANO MEDICAL & PROFESSIONAL PLAZA
Provider Second Line Business Practice Location Address:
SUITE #5 PRIMER PISO AVE. SEVERIANO CUEVAS #18
Provider Business Practice Location Address City Name:
AGUADILLA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-560-6237
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/20/2017